1043326747 STATE OF WISCONSIN

Intellectual Disabilities Intermediate Care Facility

Active

Basic Information

Organization Name
STATE OF WISCONSIN
Enumeration Date
August 22, 2006
Last Update
February 14, 2008
Authorized Official
MR. JAMES E HUTCHISON
NURSING HOME ADMINISTRATOR
Phone: (262) 878-2411

Practice Location

Address
21425 SPRING ST
UNION GROVE, WI 531829707
Phone
(262) 878-2411
Fax
(262) 878-2922

Mailing Address

Address
21425 SPRING ST
UNION GROVE, WI 531829707
Phone
(262) 878-2411
Fax
(262) 878-2922

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual Disabilities Intermediate Care Facility
315P00000X Intermediate Care Facility, Intellectual Disabilities 2763 WI Primary

Other Identifiers

Identifier Type State Issuer
21050000 05 WI N/A

Frequently Asked Questions

What is STATE OF WISCONSIN's NPI number?
STATE OF WISCONSIN's NPI number is 1043326747.
Which doctor has NPI number 1043326747?
The doctor with NPI number 1043326747 is STATE OF WISCONSIN.
What is STATE OF WISCONSIN's practice address?
STATE OF WISCONSIN's practice address is 21425 SPRING ST, UNION GROVE, WI, 531829707.
Which doctor practices at 21425 SPRING ST, UNION GROVE, WI, 531829707?
STATE OF WISCONSIN practices at 21425 SPRING ST, UNION GROVE, WI, 531829707.
What is STATE OF WISCONSIN's phone number?
STATE OF WISCONSIN's phone number is (262) 878-2411.
Who is (262) 878-2411?
(262) 878-2411 is the phone number for STATE OF WISCONSIN.
What is STATE OF WISCONSIN's specialty?
STATE OF WISCONSIN's specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is STATE OF WISCONSIN?
STATE OF WISCONSIN is a Intellectual Disabilities Intermediate Care Facility.
Is STATE OF WISCONSIN a Intermediate Care Facility, Intellectual Disabilities?
Yes, STATE OF WISCONSIN is a Intermediate Care Facility, Intellectual Disabilities.
Is STATE OF WISCONSIN still practicing?
Yes, STATE OF WISCONSIN is currently practicing.
Is STATE OF WISCONSIN accepting new patients?
STATE OF WISCONSIN may be accepting new patients. Please call their office at (262) 878-2411 to inquire about availability.
Is NPI 1043326747 still active?
Yes, NPI 1043326747 is currently active.
Where does STATE OF WISCONSIN practice?
STATE OF WISCONSIN practices in UNION GROVE, WI.